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Acute Cholangitis — Antibiotics and Urgent ERCP per Tokyo Guidelines

System: Hepatology • Reviewed: Sep 2, 2025 • Step 1Step 2Step 3

Synopsis:

Charcot triad (fever, jaundice, RUQ pain) ± hypotension/AMS suggests cholangitis. Start broad-spectrum antibiotics and obtain urgent biliary decompression (ERCP) in moderate-to-severe cases per Tokyo Guidelines; correct coagulopathy and fluids.

Key Points

  • Use the highest‑yield diagnostic test early; do not let testing delay time‑critical therapy.
  • Set objective targets and reassess frequently.
  • Plan definitive source control or disease‑specific therapy when indicated; document follow‑up and patient education.

Algorithm

  1. Start antibiotics and fluids; risk-grade with Tokyo criteria.
  2. Arrange urgent ERCP for moderate-to-severe disease or persistent obstruction.
  3. Tailor antibiotics to cultures; complete definitive biliary therapy to prevent recurrence.

Clinical Synopsis & Reasoning

Charcot triad (fever, jaundice, RUQ pain) ± hypotension/AMS suggests cholangitis. Start broad-spectrum antibiotics and obtain urgent biliary decompression (ERCP) in moderate-to-severe cases per Tokyo Guidelines; correct coagulopathy and fluids.


Treatment Strategy & Disposition

Stabilize ABCs. Initiate guideline‑concordant first‑line therapy with precise dosing and continuous monitoring. Escalate to advanced/procedural interventions based on explicit failure criteria. Define ICU, step‑down, and ward disposition triggers; involve specialty teams early.


Epidemiology / Risk Factors

  • Risk varies by comorbidity and precipitants; see citations for condition‑specific data.

Investigations

TestRole / RationaleTypical FindingsNotes
LFTs, blood cultures, and ultrasound/CT/MRCPDiagnosisBiliary obstruction with infectionRisk grade per Tokyo
Risk assessment (Tokyo I–III)SeverityGuide timing of ERCP
Coagulation studies and platelet countSafetyProcedure readiness

High-Risk & Disposition Triggers

TriggerWhy it mattersAction
Sepsis/shock or acute organ dysfunctionSevere (Tokyo Grade III)ICU; urgent biliary drainage (ERCP/IR)
Persistent obstruction despite antibioticsOngoing infection sourceERCP within 24 h
Recurrent cholangitis or stonesRecurrence riskDefinitive biliary therapy (cholecystectomy/stenting)
CoagulopathyProcedure riskReversal/optimization pre-ERCP
Elderly/frail with poor supportSafetyAdmit; multidisciplinary care

Pharmacology

Medication/InterventionMechanismOnsetRole in TherapyLimitations
Piperacillin-tazobactam/cefepime + metronidazole (per local)AntibioticsHoursCover enteric Gram-negatives/anaerobesTailor to cultures
ERCP for drainage ± sphincterotomy/stentSource controlHoursDefinitive therapyPercutaneous drain if ERCP not feasible
Vitamin K/platelets as neededProcedure safetyHoursReduce bleeding risk

Prognosis / Complications

  • Outcome depends on timeliness of diagnosis and definitive therapy; monitor for complications.

Patient Education / Counseling

  • Provide red‑flag education, adherence guidance, and explicit return precautions; arrange timely specialty follow‑up.

References

  1. Tokyo Guidelines for acute cholangitis — Link
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